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� ^ CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3`t l(� ���ys� ��= iZ-�.:�� <br /> PID: <br /> DESCRIPTION OF WORK: (�;���'vt�,ti.� ,— �;,'v,�,t V�-.�t 5,-�:Lt, ���'.�-( <br /> ----------------------------- <br /> ZONING REVIEW BY: � � �.,{,,._ DATE APPROVED: �;- Y'-�C. <br /> BUILDING REVIEW BY: c � ,. �, .,,,�...� DATE APPROVED: y -y-��, <br /> -----------------------------------------------;- ---------------------------------------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �" No <br /> PLAN REVIEW Yes ✓' No SEWER CONNECTION <br /> STATE SUR`�-IARGE Yes ✓ No WATFR CONNECTTON <br /> INVESTIGA'I'ION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> ���� Rear (Street): Left Side: <br /> � t <br /> �; Adjacent Structures: Wetland: <br /> �v� <br /> � Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By� <br /> Zoning File: #i Resolution: # Resolution Date: <br /> Shoreland Dist:ict: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> i <br /> Hardcover: 0-75' <br /> d 75-250' <br /> � 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): �`"N+� cti�s,r�i� f,,�.9 s o!:�G iN'��y �/lo�1C 5�c� Cr�✓1J�'. �r vr�i �' <br /> J <br /> # �`�"�f� L'�;;� �.��� Y'i�rj t��=t�.�:.1"�-� �- o�..;,v e'� N�e,�� c.v�s K�'� �-o ,;,2�:c:.�� <br /> 26 <br />